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Kenya-MHM-Strategy-Final.Pdf REPUBLIC OF KENYA MINISTRY OF HEALTH MENSTRUAL HYGIENE MANAGEMENT STRATEGY 2019-2024 REPUBLIC OF KENYA MINISTRY OF HEALTH MENSTRUAL HYGIENE MANAGEMENT STRATEGY 2019-2024 Table of Contents Foreword ..................................................................................................................................................v Preface .................................................................................................................................................... vi Acknowledgements ........................................................................................................................... vii Executive Summary...........................................................................................................................viii Acronyms/Abbreviations ................................................................................................................... ix Glossary/Definition of Terms............................................................................................................ x Chapter One: Introduction ................................................................................................................. 1 Background ....................................................................................................................................... 1 Rationale of the MHM Strategy .................................................................................................... 1 Purpose and Aim of the MHM Strategy ....................................................................................... 2 Strategy Development Process ..................................................................................................... 2 Stakeholders Consultation in the Development of the Strategy .................................................. 2 The Menstrual Hygiene Management Framework ......................................................................... 3 Policy and Strategy Guidelines ...................................................................................................... 4 Constitution of Kenya 2010 .............................................................................................................. 4 National Vision 2030 .......................................................................................................................... 4 National Health Policy 2014-2030 ................................................................................................... 4 National Health Sector Strategic and Investment Plan (KHSSIP 2014 -2018) ............................ 4 Kenya Environmental Sanitation and Hygiene Policy 2016 – 2030 ............................................. 5 Basic Education (Amendment) Act ................................................................................................... 5 Kenya School Health Policy 2018 ..................................................................................................... 5 Other Policy Documents .................................................................................................................... 5 Sustainable Development Goals ....................................................................................................... 6 United Nations Rules for the Treatment of Women Prisoners and Non-custodial Measures for Women Offenders with their Commentary (Bangkok Rules) ........................................................ 6 The Convention on the Rights of Persons with Disabilities (CRPD) .............................................. 6 The Protocol to the African Charter on People and Human Rights of Women in Africa ........... 7 Beijing Declaration and Platform for Action ................................................................................... 8 Commission on the Status of Women (CSW) ................................................................................... 8 Chapter Two: Situation Analysis ...................................................................................................... 9 Current Situation ............................................................................................................................. 9 Information, Knowledge and Awareness on Menstruation ..................................................... 9 Knowledge of and Access to Menstrual Management Products ............................................ 9 MHM in Learning Institutions ...................................................................................................... 10 Safe Disposal of Menstrual Waste .............................................................................................. 10 Analysis of Strengths, Weaknesses, Opportunities and Threats (SWOT) ............................ 11 Political, Economic, Social, Technology, Environmental and Legal (PESTEL) Analysis ....... 12 iii Chapter Three: Goals, Objectives and Strategies ..................................................................... 15 Vision of the MHM Strategy ......................................................................................................... 15 Mission of the MHM Strategy ...................................................................................................... 15 Guiding Principles for Implementing the MHM Strategy ....................................................... 15 Overall Goal of the MHM Strategy.............................................................................................. 16 Strategic Focus Areas .................................................................................................................... 17 Strategic Focus Area 1: Creating an Enabling Environment for MHM ................................... 17 Strategic Focus Area 2: Breaking the Silence on Menstruation .............................................. 19 Strategic Focus Area 3: Safe and Hygienic Management of MHM ......................................... 21 Strategic Focus Area 4: Safe Disposal of Menstrual Waste ..................................................... 23 Strategic Focus Area 5: Monitoring and Evaluation Systems for Accountability and Learning ................................................................................................................................... 25 Chapter Four: MHM Strategy Implementation Arrangement ............................................... 27 Introduction .................................................................................................................................... 27 Leadership Alignment to Oversee Implementation of the MHM Policy .............................. 28 Dissemination of the MHM Strategy .......................................................................................... 28 Implement Formative Technical Interventions on MHM ........................................................ 28 Implementation of the Basic Education Ammendment Act .................................................. 29 Strengthen Coordination for MHM at the National and County Levels ............................... 29 Design and Roll Out a Comprehensive Capacity Development Plan Targeting Actors at all Levels. .............................................................................................................................................. 31 MHM Integration into Various Sectors Programmes and Activities ..................................... 31 Roles and Responsibilities of Various Sectors on MHM .......................................................... 47 Chapter Five: Monitoring and Evaluation of the MHM Programme .................................... 51 References ............................................................................................................................................ 52 iv Foreword The Constitution of Kenya 2010 under article 43 recognizes that the access to water and sanitation is a basic human right. It aims to preserve the dignity of individuals and communities through the promotion of social justice. Kenya vision 2030 envisages that in order to achieve a just and cohesive society that enjoys equitable social development, there is need to ensure favorable health and education outcomes for its citizens are realized in a clean and secure environment. This is in line with ensuring the universal access to adequate water and sanitation targets of the Sustainable Development Goals (SDGs). Menstruating in dignity is part of the fundamental right of girls and women, half of the country’s population. Girls’ ability to manage their menstruation is influenced by broader gender inequities across Kenya and can be hindered by the presence of discriminatory social norms. There may be opportunities to leverage Menstrual Hygiene Management as an entry point to sensitive sexual, early childhood marriages, female genital mutilation (FGM) and reproductive health topics, such as reproductive rights, transactional sex, and teenage pregnancy prevention. Menstrual Hygiene Management (MHM) is a far-reaching and complex issue that needs to be addressed from various sectors: water, sanitation and hygiene, education, health, protection and social and economic aspects. In Kenya, the Kenya Health Policy (2012-2030), the Kenya Environmental Sanitation and Hygiene Policy and Strategy (2016 – 2030), the National Reproductive Health Policy (2007), the Gender Policy in Education (2007) and the National Adolescent Sexual and Reproductive Health Policy (2015) all contain aspects of
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